Organization
PEDIATRIC PLASTIC SURGERY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULI A SMIDDY (PRACTICE ADMINISTRATOR)
(972) 331-7711
Entity
Organization
Contact information
Practice address
7777 FOREST LN STE C528, DALLAS, TX 75230-6848
(972) 331-7711
(972) 331-1911
Mailing address
7777 FOREST LN STE C528, DALLAS, TX 75230-6848
(972) 331-7711
(972) 331-1911
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
TX
Other
Enumeration date
01/08/2007
Last updated
04/16/2021
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